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  5. EMERALD INSURANCE SERVICES INC.

EMERALD INSURANCE SERVICES INC.

Company Details

Entity Name: EMERALD INSURANCE SERVICES INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Feb 2000
Date of Dissolution: 13 Jul 2012
Company Number: CORP_60903573
File Number: 60903573
Type of Business: All Inclusive Purpose
Date Status Change: 13 Jul 2012
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMERALD INSURANCE SERVICES, INC. 401(K) PROFIT SHARING PLAN 2016 FINAL FILING 2015 364351025 2016-12-23 EMERALD INSURANCE SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 SOUTH CICERO AVENUE, ALSIP, IL, 60803

Signature of
Role Plan administrator
Date 2016-12-23
Name of individual signing PAUL P DIDZEREKIS
Valid signature Filed with authorized/valid electronic signature
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN 2015 364351025 2016-08-01 EMERALD INSURANCE SERVICES,INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803

Plan administrator’s name and address
Administrator’s EIN 364351025
Plan administrator’s name EMERALD INSURANCE SERVICES,INC.
Plan administrator’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803
Administrator’s telephone number 7082724500

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing PAUL P DIDZEREKIS
Valid signature Filed with authorized/valid electronic signature
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN 2014 364351025 2015-06-19 EMERALD INSURANCE SERVICES,INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803

Plan administrator’s name and address
Administrator’s EIN 364351025
Plan administrator’s name EMERALD INSURANCE SERVICES,INC.
Plan administrator’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803
Administrator’s telephone number 7082724500

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing PAUL P DIDZEREKIS
Valid signature Filed with authorized/valid electronic signature
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN 2013 364351025 2014-07-24 EMERALD INSURANCE SERVICES,INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803

Plan administrator’s name and address
Administrator’s EIN 364351025
Plan administrator’s name EMERALD INSURANCE SERVICES,INC.
Plan administrator’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803
Administrator’s telephone number 7082724500

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing PAUL P DIDZEREKIS
Valid signature Filed with authorized/valid electronic signature
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN 2012 364351025 2013-07-29 EMERALD INSURANCE SERVICES,INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803

Plan administrator’s name and address
Administrator’s EIN 364351025
Plan administrator’s name EMERALD INSURANCE SERVICES,INC.
Plan administrator’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803
Administrator’s telephone number 7082724500

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing PAUL P DIDZEREKIS
Valid signature Filed with authorized/valid electronic signature
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN 2011 364351025 2012-07-25 EMERALD INSURANCE SERVICES,INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803

Plan administrator’s name and address
Administrator’s EIN 364351025
Plan administrator’s name EMERALD INSURANCE SERVICES,INC.
Plan administrator’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803
Administrator’s telephone number 7082724500

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing PAUL P DIDZEREKIS
Valid signature Filed with authorized/valid electronic signature
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN 2010 364351025 2012-07-25 EMERALD INSURANCE SERVICES,INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803

Plan administrator’s name and address
Administrator’s EIN 364351025
Plan administrator’s name EMERALD INSURANCE SERVICES,INC.
Plan administrator’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803
Administrator’s telephone number 7082724500

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing PAUL P DIDZEREKIS
Valid signature Filed with authorized/valid electronic signature
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN 2009 364351025 2010-07-21 EMERALD INSURANCE SERVICES,INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803

Plan administrator’s name and address
Administrator’s EIN 364351025
Plan administrator’s name EMERALD INSURANCE SERVICES,INC.
Plan administrator’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803
Administrator’s telephone number 7082724500

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing BRIAN F. GEARY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-20
Name of individual signing BRIAN F. GEARY
Valid signature Filed with authorized/valid electronic signature
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN 2009 364351025 2010-07-21 EMERALD INSURANCE SERVICES,INC. 18
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 7082724500
Plan sponsor’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803

Plan administrator’s name and address
Administrator’s EIN 364351025
Plan administrator’s name EMERALD INSURANCE SERVICES,INC.
Plan administrator’s address 12855 S. CICERO AVENUE, ALSIP, IL, 60803
Administrator’s telephone number 7082724500

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing BRIAN F. GEARY
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-20
Name of individual signing BRIAN F. GEARY
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
PAUL P DIDZEREKIS, 610 W ROOSEVELT RD STE B-2, WHEATON, 60187, DU PAGE Agent 2011-12-20

President

Name and Address Role
BRIAN GEARY, 7347 KIOWA LANEPALOS HEIGHTS 60463 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Related by officers

PAUL P DIDZEREKIS, 610 W ROOSEVELT RD STE B-2, WHEATON, 60187, DU PAGE

CHATEAU NORMANDY OF WAYNE, LTD. ESTATE PLANNING ILLINOIS.COM, INC.

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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